Araştırma Makalesi

The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study

Cilt: 46 Sayı: 2 11 Haziran 2019
  • Bariş Çil *
  • Mehmet Kabak
  • Ayşe Füsun Topçu
  • Mahşuk Taylan
  • Cengizhan Sezgi
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The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study

Öz

Objective: The percentage of asthma patients that use their inhalers with the correct technique ranges between 10 and 60. Inappropriate use of inhaler leads to disuse of drug, diminished disease control and increased drug use. In this study, we aimed to determine the effect of proper inhaler therapy on the treatment and control of asthma and the effect of proper inhaler use on hospitalization due to asthma. 
Method: One hundred and sixty five asthma patients over 18 years of age that applied to either in- or out-patient clinics of a university hospital, that had a diagnosis of asthma according to the criteria of the Global Initiative for Asthma (GINA) and had been attack-free for at least one month were included. Patients were told to use their inhalers and any misuse were noted. Patients were put through the Asthma Control Test (ACT). Their forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow (PEF) values were also noted. Their hospitalization status for asthma in the last year was assessed and recorded. 
Results: One hundred patients used their asthma inhalers correctly, while 65 did not. Those that used their inhalers correctly had significantly higher ACT (p=0,0001), FEV1% (p=0,001) and PEF% (p=0,014). 
Discussion: Patients must be informed and trained for the correct use of their inhaler drugs. Patients seem to be under-informed on this subject and there are serious mistakes of use for all inhaler types. Correct use of inhalers leads to better control of disease, lower rate of asthma-related hospitalization, less drug waste and decreased treatment cost. 

Anahtar Kelimeler

Kaynakça

  1. 1. Global Initiative for Asthma(GINA). Global strategy for asthma management and prevention(Update2018).http://ginasthma.org/2018-gina-report-global-strategy-for-asthma-management-and-prevention/ . Accessed 15 January 2018.
  2. 2. Global Initiative for Asthma (GINA). 2017 GINA Report, Global Strategy for Asthma Management and Prevention. http://ginasthma.org/2017-gina-report-global-strategy-for-asthma-management-and-prevention/. Accessed 13 December 2017.
  3. 3. Vasbinder EC, Janssens HM, Rutten-van Mölken MP, et all. e-Monitoring of Asthma therapy to improve compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol. BMC Med Inform Decis Mak. 2013; 13: 38.
  4. 4. Bosnic-Anticevich SZ, Stuart M, Mackson J, et all. Development and evaluation of an innovative model of inter-professional education focused on asthma medication use. BMC Med Educ. 2014; 14: 72.
  5. 5. Melani AS, Bonavia M, Cilenti V, et all. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med. 2011; 105: 930-8.
  6. 6. Pedersen S, Dubus JC, Crompton GK; ADMIT Working Group. The ADMIT series--issues in inhalation therapy. Inhaler selection in children with asthma. Prim Care Respir J. 2010; 19: 209-26.
  7. 7. Price D, Bosnic-Anticevich S, Briggs A, et all. Inhaler competence in asthma: common errors, barriers to use and recommended solutions.Respir Med. 2013; 107: 37- 46.
  8. 8. Al-Jahdali H, Ahmed A, Al-Harbi A, et all. Improper inhaler technique is associated with poor asthma control and frequent emergency department visits. Allergy Asthma Clin Immunol. 2013; 9: 8.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

11 Haziran 2019

Gönderilme Tarihi

25 Aralık 2018

Kabul Tarihi

26 Mart 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 46 Sayı: 2

Kaynak Göster

APA
Çil, B., Kabak, M., Topçu, A. F., Taylan, M., & Sezgi, C. (2019). The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study. Dicle Medical Journal, 46(2), 321-325. https://doi.org/10.5798/dicletip.574929
AMA
1.Çil B, Kabak M, Topçu AF, Taylan M, Sezgi C. The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study. diclemedj. 2019;46(2):321-325. doi:10.5798/dicletip.574929
Chicago
Çil, Bariş, Mehmet Kabak, Ayşe Füsun Topçu, Mahşuk Taylan, ve Cengizhan Sezgi. 2019. “The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study”. Dicle Medical Journal 46 (2): 321-25. https://doi.org/10.5798/dicletip.574929.
EndNote
Çil B, Kabak M, Topçu AF, Taylan M, Sezgi C (01 Haziran 2019) The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study. Dicle Medical Journal 46 2 321–325.
IEEE
[1]B. Çil, M. Kabak, A. F. Topçu, M. Taylan, ve C. Sezgi, “The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study”, diclemedj, c. 46, sy 2, ss. 321–325, Haz. 2019, doi: 10.5798/dicletip.574929.
ISNAD
Çil, Bariş - Kabak, Mehmet - Topçu, Ayşe Füsun - Taylan, Mahşuk - Sezgi, Cengizhan. “The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study”. Dicle Medical Journal 46/2 (01 Haziran 2019): 321-325. https://doi.org/10.5798/dicletip.574929.
JAMA
1.Çil B, Kabak M, Topçu AF, Taylan M, Sezgi C. The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study. diclemedj. 2019;46:321–325.
MLA
Çil, Bariş, vd. “The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study”. Dicle Medical Journal, c. 46, sy 2, Haziran 2019, ss. 321-5, doi:10.5798/dicletip.574929.
Vancouver
1.Bariş Çil, Mehmet Kabak, Ayşe Füsun Topçu, Mahşuk Taylan, Cengizhan Sezgi. The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study. diclemedj. 01 Haziran 2019;46(2):321-5. doi:10.5798/dicletip.574929

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